Organization
ANTHONY A. ELGOHARY, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LEE RICKS (OFFICE MANAGER)
(757) 484-4197
Entity
Organization
Contact information
Practice address
5131 RIVER CLUB DR, SUITE 220, SUFFOLK, VA 23435-3661
(757) 484-4197
(757) 483-9065
Mailing address
5131 RIVER CLUB DR, SUITE 220, SUFFOLK, VA 23435-3661
(757) 484-4197
(757) 483-9065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410824
VA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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